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Rinat Feniger-Schaal, Shoshi Keisari, Hod Orkibi, Jason Butler, Nisha Sajnani

Creative Arts Therapies Practice in Times of COVID-19: An international Survey

Introduction: In March 2020, the World Health Organization (WHO) officially declared that COVID-19 was a pandemic with a global impact. Accordingly, containment measures were adopted in many countries, including the obligation for any citizen to avoid unnecessary person-to-person interactions and social gatherings. Hence, mental health care providers, including creative arts therapies (CAT), had to shift from in-person therapy sessions to remote tele-therapy using telecommunication technologies.

Aim and method: The overarching purpose of this survey study was to examine (a) how the COVID-19 pandemic impacted CAT’s clinical practice around the world, and (b) what characterizes their practice. Specifically, we aimed to identify reasons for changes in practice, any change in the use of the arts in therapy, helpful sources, and the role of therapists’ creative self-efficacy in adapting to changes. The survey included closed questions together with open-ended questions intended to provide detailed examples of the potential and challenges in moving to online CAT practice.
Results: 1,330 participated in the survey worldwide, almost half of the sample reported that their therapeutic practice changed significantly, and that prior to COVID-19 their typical clinical work involved their art significantly more than during COVID-19. The results also showed a significant difference between the different modalities in their adaptation to the online practice. Lastly, creative self-efficacy (belief in the ability to be creative) correlated with change in practice so that therapists who scored high on creative self-efficacy reported less significant differences in their online-practice during COVID-19. The level of feeling comfortable with basic computer skill is another significant factor in the adaptation to the online practice. The thematic analysis revealed four major themes concerning online practice during Covid-19 breakout: the potential of Tele-CAT; the challenges of Tele-CAT; adaptations for Tele-CAT; future perspectives. The implications of our findings to practice, training, and research will be discussed.

Hod Orkibi

Hod Orkibi, PhD, is a certified psychodrama therapist, a tenured Senior Lecturer and the Chair of the Doctoral Studies Committee at the School of Creative Arts Therapies, University of Haifa, Israel. His research areas include psychodrama/drama therapy, creativity, and well-being; therapy process and outcomes; arts-based community rehabilitation; positive psychology; and therapists training. Hod has secured several competitive grant funds, has published over 50 articles in refereed journals, and his work has been presented at international conferences. He is a member of the Israeli Association for Arts Therapies (YAHAT) and Israeli Association for Psychodrama; former Chair of the Israeli Higher Council for Creative Arts Therapies; and currently an Executive Committee member and Council representative of the Society for the Psychology of Aesthetics, Creativity, and the Arts (Division 10 of the American Psychological Association).

Orkibi, H. (2018). The user-friendliness of drama: Implications for drama therapy and psychodrama admission and training. The Arts in Psychotherapy, 59, 101-108.
Orkibi, H. (2019). Positive psychodrama: A framework for practice and research. The Arts in Psychotherapy, 66, 101603.
Orkibi, H., Azoulay, B., Snir, S., & Regev, D. (2017). In‐session behaviours and adolescents' self‐concept and loneliness: A psychodrama process–outcome study. Clinical Psychology and Psychotherapy, 24, O1455–O1463.
Orkibi, H., & Feniger-Schaal, R. (2019). Integrative systematic review of psychodrama psychotherapy research: Trends and methodological implications. PLOS ONE, 14(2), e0212575.
Orkibi, H., & Ram-Vlasov, N. (2019). Linking trauma to posttraumatic growth and mental health through emotional and cognitive creativity. Psychology of Aesthetics, Creativity, and the Arts, 13(4), 416-430.
Feniger-Schaal, R., & Orkibi, H. (2020). Integrative systematic review of drama therapy intervention research. Psychology of Aesthetics, Creativity, and the Arts, 14(1), 68-80.
Shafir, T., Orkibi, H., Baker, F.A., Gussak, D., & Kaimal, G. (2020). Editorial: The state of the art in creative arts therapies [Editorial]. Frontiers in Psychology, 11(68).

Jason Butler

Jason D. Butler, Ph.D., RDT-BCT, LCAT is an associate professor and drama therapy program coordinator at Lesley University and the editor-in-chief for The Arts in Psychotherapy. He is a former president of the North American Drama Therapy Association (NADTA) and previously served on the NADTA Board of Directors as the Communications Chair. Prior to Lesley University, he was an assistant professor at Concordia University in the Creative Arts Therapies Department and has served as an adjunct instructor at NYU.

Arias, G., Dennis, C., Loo, S., Lazier, A.L., Moye, K.D., Connor, C.O., Rich, A., Weinberg, M., & Butler, J.D. (2020). A Space to Speak: Therapeutic Theater to Address Gender-Based Violence. Violence Against Women, 26(14), 1771–1789.
Pilgrim, K., Ventura, N., Bingen, A.M.Y., Faith, E., Fort, J., Reyes, O., … Butler, J.D. (2020). From a distance: Technology and the first low-residency drama therapy education program. Drama Therapy Review, 6(1), 27–48.
Sajnani, N., Beardall, N., Stephenson, R.C., Estrella, K., Zarate, R., Socha, D., & Butler, J.D. (2019). Navigating the transition to online education in the arts therapies. In Hougham. R., Pitruzzella, S., Scoble, S. & Wengrower, H. (eds.), Traditions in Transition in the Arts Therapies (pp. 153–170). Plymouth, Devon: University of Plymouth Press.
Butler, J.D. (2019). The use of role-play in creative arts therapy education. In Hougham, R., Pitruzzella, S., Scoble, S. & Wengrower, H. (eds.), Traditions in Transition in the Arts Therapies (pp. 137–150). University of Plymouth Press.
Butler, J.D. (2017). Re-examining Landy’s four-part model of drama therapy education. Drama Therapy Review, 3(1), 75–87.
Butler, J.D. (2017). The complex intersection of education and therapy in the drama therapy classroom. The Arts in Psychotherapy, 53(2017), 28–35.

Nisha Sajnani

Nisha Sajnani, PhD, is the Director of the Program in Drama Therapy and the Theatre & Health Lab at New York University. She is the Principal Editor of Drama Therapy Review, the journal of the North American Drama Therapy Association.

Sajnani, N., Mayor, C., Boal, J. (in press). Theatre of the oppressed. In Johnson, D.R. & Emunah, R. (Eds.) Current approaches in drama therapy. Charles C. Thomas.
Sajnani, N., Mayor, C., & Tillberg-Webb, H. (2020). Aesthetic presence: The role of the arts in the education of creative arts therapists in the classroom and online. Arts in Psychotherapy, 69,
Sajnani, N. (2020). Digital interventions in drama therapy offer a virtual playspace but also raise concern. Drama Therapy Review, 6(1), 3-6.
Sajnani, N., Mayor, C., Burch, D., Feldman, D., Davis, C., Kelly, J., Landis, H., & McAdam, L. (2019). Collaborative discourse analysis on the use of drama therapy to treat trauma in schools. Drama Therapy Review, 5(1), 27-47.
Dunphy, K., Baker, F.A., Dumaresq, E., Carroll-Haskins, K., Eickholt, J., Ercole, M., Kaimal, G., Meyer, K., Sajnani, N., Shamir, O.Y., & Wosch, T. (2019). Creative arts interventions to address depression in older adults: A systematic review of outcomes, processes, and mechanisms. Frontiers in Psychology, 9,


Rinat Feniger-Schaal, Ph,D., is a lecturer and a researcher at the School Of Creative Arts Therapies and leading the Master’s program for Dramatherapy at the University of Haifa. She is also a research fellow at the Center for the Study of Child Development. Dr. Feniger Schaal is a registered dramatherapist and holds a master’s in Psychoanalytic Developmental Psychology, and a Ph.D. in Developmental Psychology. Her main research interests are in the areas connecting research and clinical work, focusing mainly on play, drama and movement. Dr. Feniger-Schaal has an extensive clinical experience as a dramatherapist in the public and private practice, specialising in working with people with cognitive impairment and mental health problems.

Feniger-Schaal, R., Hart Y., Lotan, N., Koren-Karie, N, & Noy, L. (2018). The body speaks: Using the mirror game to link attachment and non-verbal behavior. Frontier in Psychology, 9, 1560
Sela, T., Livni, T., & Feniger-Schaal, R. (2019). The point of no return: A drama therapy group intervention for parents of children with ADHD. Drama Therapy Review, 5(2), 235-249. doi: 10.1386/dtr_00004_1
Feniger-Schaal., R. & Warzager, D. (2019) Getting synchronized in the mirror game: An exploratory study. Journal of Body, Movement and Dance in Psychotherapy, 1-18.
Geiger, A., Feniger-Schaal, R., & Shpigelman N.C (2020). The socio-emotional world of adolescents with Intellectual Disability: A drama therapy-based participatory action research. The Arts in Psychotherapy 53, 55-63
Feniger-Schaal, R. & Orkibi. (2020). Integrative systematic review of dramatherapy. Psychology of the Aesthetic Creativity and Arts.13 p.
Keisari, S., Feniger-Schaal, R., Palgi, Y., Golland, Y., Gesser-Edelsburg, A., & Ben-David, B. (2020). Synchrony in Old Age: Playing the Mirror Game Improves Cognitive Performance. Clinical Gerontologist, 1-15.
Feniger-Schaal, R., Schoneherr, D., Altmann, U. & Strauss, B (2020). Movement synchrony in the mirror game: A pilot study. Journal of Nonverbal Behavior. 16 pages.

Shoshi Keisari

Shoshi Keisari, PhD, is a drama therapist and a scholar in the field of creative arts therapies and clinical gerontology. She is a lecturer and supervisor at Haifa University, Tel Hai Academic College, and the Israeli Institute of Psychotherapeutic Playback Theatre. Her doctoral research concentrated on the integration of drama therapy, playback theatre, and life-review with older adults. These days she is doing her post-doc research at the Department of Philosophy, Sociology, Education and Applied Psychology in University of Padua, Italy. She published several papers in the field, lectured, and conducted workshops in various conferences in Israel and around the world. A co-author of the book: An Introduction to Psychotherapeutic Playback Theatre: The Hall of Mirrors on Stage.

Keisari, S., & Palgi, Y. (2017). Life-crossroads on stage: Integrating life review and drama therapy for older adults. Aging & mental health, 21(10), 1079-1089.
Keisari, S., Yaniv, D., Palgi, Y., & Gesser-Edelsburg, A. (2018). Conducting playback theatre with older adults—A therapist’s perspective. The Arts in Psychotherapy, 60, 72-81
Keisari, S., Feniger-Schaal, R., Palgi, Y., Golland, Y., Gesser-Edelsburg, A., & Ben-David, B. (2020). Synchrony in old age: Playing the mirror game improves cognitive performance. Clinical Gerontologists.
Keisari, S., Palgi, Y., Yaniv, D., & Gesser-Edelsburg, A. (2020). Participation in Life-Review Playback Theatre enhances mental health of community-dwelling older adults: A randomized controlled trial. Psychology of Aesthetics Creativity and the Arts.
Keisari, S., Gesser-Edelsburg, A., Yaniv, D., & Palgi, Y. (2020). Playback theatre in adult day centers: A creative group intervention. Plos One.

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